Active NPI
Peter Michael Vandermeid, M.D.
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1912959768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101058587
- Practice address
- 1605 General Booth Blvd
Virginia Beach, VA 23454-5691 - Phone
- (757) 721-0512
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101058587 | VA | Primary |
Addresses
Primary practice location
1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 822-4355
Other practice location 1
11803 Jefferson Ave Ste 125
Newport News, VA 23606-2565
Phone (757) 594-1990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010105897 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rappahannock Family Healthcare, Inc | Family Medicine | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Medidoctors Primary Care LLC | Family Medicine | Past | Accepting new patients |
| Sentara Hospitals | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Family Medicine
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1912959768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-822-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 GENERAL BOOTH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545691",
"telephone_number": "757-721-0512"
}
],
"practiceLocations": [
{
"address_1": "11803 Jefferson Ave Ste 125",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236062565",
"country_code": "US",
"telephone_number": "757-594-1990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERMEID",
"first_name": "PETER",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101058587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010105897",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.